Active NPI
Mental Health House, LLC
- Psychiatric Residential Treatment Facility
- North Tustin, CA
National Provider Identifier
1427895804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- MENTAL HEALTH HOUSE, LLC
- Doing business as
- Neurish Wellness
- Practice address
- 13871 Glenmere Dr
North Tustin, CA 92705-2811 - Phone
- (559) 303-8854
- NPI assigned
- Jul 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Alexander
- Title
- Ceo
- Phone
- (949) 279-0867
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
13871 Glenmere Dr
North Tustin, CA 92705-2811
Mailing address
4701 Teller Ave Ste 150
Newport Beach, CA 92660-8144
Phone (949) 466-0493
Other names 1
- Neurish Wellness
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2293348 | Mental Health House | Certificate of waiver | Nov 6, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Mental Health House LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Residential Treatment Facility
- Costa Mesa, CA
- NPI 1447842760
-
- Psychiatric Residential Treatment Facility
- Fountain Valley, CA
- NPI 1609559913
-
- Psychiatric Residential Treatment Facility
- North Tustin, CA
- NPI 1619650926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720656000000",
"number": "1427895804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 TELLER AVE STE 150",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926608144",
"telephone_number": "949-466-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13871 GLENMERE DR",
"city": "NORTH TUSTIN",
"state": "CA",
"postal_code": "927052811",
"telephone_number": "559-303-8854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH HOUSE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-279-0867"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Neurish Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.